Geriatric health in India: Concerns and solutions

Ingle, GK; Nath, Anita

doi:10.4103/0970-0218.43225

Cited by 158 publications

(51 citation statements)

References 4 publications

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“…At least 65% of India's old live in rural areas and are illiterate and economically dependent. [ 2 3 ] Thus, there is a need to address the medical and socio-economic problems of this vulnerable group and promote healthy ageing.…”

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confidence: 99%

Geriatric care in India: A long way to go

Tripathy

2014

J Mid-life Health

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confidence: 99%

Geriatric care in India: A long way to go

Tripathy

2014

J Mid-life Health

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“…This is contrary to the study by Vigg et al (25) where patients ≥60 years were included for evaluating the clinical spectrum of the lung cancer in the elderly Indian patients. But over the last decade, India has acquired the label of "an ageing nation" with 7.7% of its population being more than 60 years old (26). This is reflected in the finding of median age of 65 years in study of assessment of cancer care in older patients by Sarkar and Shahi (27).…”

Section: Discussionmentioning

confidence: 92%

Treatment Compliance and Outcome in Geriatric Patients with Locally Advanced Non-Small Cell Lung Cancer: Experience from India

et al. 2016

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Objectives: To evaluate treatment compliance, toxicity and survival in geriatric patients (≥65 years) with locally advanced nonsmall cell lung cancer (LA-NSCLC).Methods: Departmental archive was collected for the details of demographics, treatment and outcome in elderly patients with LA-NSCLC (2008 -2013) (n = 96). Both progression-free survival (PFS) and overall survival (OS) were evaluated using Kaplan-Meier method. Acute and late morbidity were scored using common terminology criteria for adverse events version 4, radiation therapy and oncology group late morbidity scoring system. Results:Overall treatment completion rate was 65%. The rates of acute grade ≥ 3 hematologic and non-hematologic toxicities were 20% and 17% respectively. Overall rate of late toxicity was 12.5%. The median PFS and OS values were 7.4 months and 10.54 months, respectively. Patients with multiple comorbidities, poor socio-economic background and serum albumin level (< 3.5g/dL) were observed to have poor survival. Survival was lower for non-compliant patients. Conclusions:Curative multi-modality therapy in elderly patients with LA-NSCLC is a challenging task. They are susceptible to poor compliance, treatment-associated toxicities and poor survival.

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“…India is referred to as the “aging nation,” with 7.7% of its population being over 60 years of age and a projected increase to 324 million by 2050 (Ingle and Nath, 2008[15]). This rise will lead to a greater health-related burden.…”

Section: Need To Talk About End-of-life Care In Indiamentioning

confidence: 99%

End-of-Life Care and Psychiatry: Current Trends and Future Directions in India

Deodhar

2016

Mens Sana Monogr

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Although 80% of the deaths worldwide occur in middle- and low-income countries such as India, there is less awareness of end-of-life care (EOLC) for people with chronic, serious, progressive, or advanced life-limiting illnesses, including dementia. EOLC involves good communication, clinical decision-making, liaison with medical teams and families, comprehensive assessment of and specialized interventions for physical, psychological, spiritual, and social needs of patients and their caregivers. The psychiatrist can play a significant role in each of the above domains in EOLC. The current trends in India are examined, including ambiguities between EOLC and euthanasia. Future directions include formulating a national EOLC policy, providing appropriate services and training. The psychiatrist should get involved in this process, with major responsibilities in providing good quality EOLC for patients with both life-limiting physical illnesses and severe mental disorders, supporting their caregivers, and ensuring dignity in death.

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Geriatric health in India: Concerns and solutions

Cited by 158 publications

References 4 publications

Geriatric care in India: A long way to go

Geriatric care in India: A long way to go

Treatment Compliance and Outcome in Geriatric Patients with Locally Advanced Non-Small Cell Lung Cancer: Experience from India

End-of-Life Care and Psychiatry: Current Trends and Future Directions in India

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